| NPI | 1588144778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1030781) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 009180) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902578) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2022-11-08 |